Jacobs, Donald J

Jacobs, Donald J is an individual health care provider with primary practice located at 1711 S Stephenson Ave Ste 125 , Iron Mountain MI 49801-3649. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jacobs, Donald J can be contacted via phone (906) 776-5810.

Contact Information

Primary practice address
1711 S Stephenson Ave Ste 125 Iron Mountain MI 49801-3649
Phone: (906) 776-5810
Fax: (906) 228-0218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301022733 Michigan

Profile Details

NPI number 1699757286
LBN Legal business name Jacobs, Donald J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jan 6th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699757286 NPPES
Michigan Other 0802243952 BCBS MI
Michigan MEDICAID 31333300 BCBS MI
Michigan MEDICAID 3010109 BCBS MI
Michigan Other 080079313 BCBS MI

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